The 24-month course of manic symptoms in children.

OBJECTIVES: The Longitudinal Assessment of Manic Symptoms (LAMS) study was designed to investigate phenomenology and establish predictors of functional outcomes in children with elevated manic symptoms. The purpose of this series of analyses was to determine whether the participants demonstrated different trajectories of parent-reported manic and biphasic symptoms over the first 24 months of follow-up and to describe the clinical characteristics of the trajectories. METHODS: The 707 participants were initially aged 6-12 years and ascertained from outpatient clinics associated with the four university-affiliated LAMS sites. There were 621 children whose parents/guardians' ratings scored ≥ 12 on the Parent General Behavior Inventory-10-item Mania Form (PGBI-10M) and a matched random sample of 86 children whose parents/guardians' ratings scored ≤ 11 on the PGBI-10M. Participants were seen every six months after the baseline and their parents completed the PGBI-10M at each visit. RESULTS: For the whole sample, manic symptoms decreased over 24 months (linear effect B = -1.15, standard error = 0.32, t = -3.66, p < 0.001). Growth mixture modeling revealed four unique trajectories of manic symptoms. Approximately 85% of the cohort belonged to two classes in which manic symptoms decreased. The remaining ~15% formed two classes (high and rising and unstable) characterized by the highest rates of diagnostic conversion to a bipolar disorder (all p-values < 0.001). CONCLUSIONS: Outcomes are not uniform among children with symptoms of mania or at high risk for mania. A substantial minority of clinically referred children shows unstable or steadily increasing manic symptoms, and these patterns have distinct clinical correlates.

Emerald dragon bites vs veggie beans: Fun food names increase children's consumption of novel healthy foods.

Caregivers often struggle with food neophobia on the part of young children. This study examined whether labeling novel healthy foods with fun names would increase children's willingness to try those foods and encourage them to eat more of those foods in a child care setting. Thirty-nine toddler and preschool age children (mean age = 3.9 years) were served each of three foods twice, once labeled with a fun name and once with a healthy name. Percentage of the food consumed by each child was recorded. Overall, children ate a greater percentage of the target foods when they were labeled with fun names. Also, a larger percentage of the children tasted the foods when they were labeled with fun names. This simple strategy could be effective for increasing consumption of healthy foods among young children.

Self-objectification and ideal body shape for men and women.

Objectification theory posits that valuing one's body for appearance rather than performance is associated with a range of negative psychological outcomes. This theory has been tested in women, but has received less empirical attention in men. This study examined the relation between self-objectification and ideal body shape in both men and women. One hundred eighty-three college students (111 women, 72 men) completed a questionnaire containing measures of self-objectification and ideal body shape (using a figure array ranging from non-muscular to very muscular). Consistent with hypotheses, women desired a less muscular body and men desired a more muscular body. Women also self-objectified more than men. In addition, there was an interaction between sex and self-objectification on ideal body shape. For women, higher self-objectification scores were related to a desire for a less muscular body. For men, higher self-objectification scores were related to a desire for a more muscular body. Self-objectification theory is a useful framework for understanding body image issues in men. However, the relation between self-objectification and other body related variables may differ for men and women.

The relationship between parents' anti-fat attitudes and restrictive feeding.

OBJECTIVE: Anti-fat prejudice is a common attitude in our society, and it has implications for those who hold and are targets of this prejudice. Little is known, however, about how parents' anti-fat attitudes impact the ways they feed their young children. We hypothesized that parents' attitudes about weight would predict parents' restrictive feeding practices above and beyond the effects of the child's actual weight and the parents' concern about child overweight. RESEARCH METHODS AND PROCEDURES: A total of 126 mothers and 102 fathers returned surveys about anti-fat attitudes, feeding practices (restriction for weight and restriction for health), and concern about child overweight. RESULTS: Parental concern about child overweight was related to higher restrictive feeding practices for both mothers and fathers. Parents' anti-fat attitudes also predicted restrictive feeding above and beyond the effects of parent and child BMI and parental concern about overweight. DISCUSSION: These findings suggest that parents' anti-fat attitudes impact the way they feed their children.